Radium; Abstracts of Selected Articles on Radium and Radium Therapy

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Cambridge Scholars Publishing, 2009 - 156 pages
Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: SECTION IV RADIUM IN MALIGNANT DISEASE, CANCEROUS AND BENIGN GROWTHS. Treament of Malignant Conditions with Radium. William J. Young, Kentucky M. J., 19:778, Dec. 1921. Massive dosage, to the limit of the patient's endurance, with reactions as a guide (except in conditions which have greately lowered resistance) is the first rule to be drawn from Young's results. The exception, however, is as important as the rule. Cooperation with the surgeon is always desirable; indeed, the line between operable and inoperable malignancy cannot yet be so well defined but that the surgeon's position may depend upon his acceptance of radium as an adjunct. Nor is the ground so solid under the radiotherapeutist that he should lead patients to expect the miraculous. All radium treatment should be augmented by x-ray treatments. In breast cancer the x-ray will do better work in a shorter time than will radium, except for direct insertion of the latter at special points of invasion. Numerous surface lesions are here shown in photographs, with the most marked absence of scar after healing following radium application, always in the maximum dose, and seldom needing a second treatment. In the mouth, tonsils, nares, nasopharynx, esophagus, and trachea, with dosage just short of a burn, the percentage of cures has greatly increased. A case of cancer of the ampulla of Vater, in which radium was anchored through an incision, left for the prescribed time, and withdrawn through the mouth, shows at least temporary improvement. Cancer at the pyloric end of the stomach shows like improvement after a dose of 50 mg. radium, lowered on a string through the esophagus, allowed to find its way to the lesion under fluoroscopic observation, and withdrawn through the mouth. Patient becomes able to eat anythi...

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